ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DKA). Which of the following characteristics are associated with DKA?
Correct Answer: C,E,F
Rationale: DKA is characterized by metabolic acidosis, hyperglycemia (>250 mg/dL), and ketosis due to fat breakdown. It causes dehydration, not fluid overload, and is associated with high, not low, blood sugar.
Question 2 of 5
A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The SANE's priority is to ensure the client's safety and well-being. Legal testimony, police involvement, and evidence collection are secondary or not the nurse's role.
Question 3 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
Correct Answer: A,C,D
Rationale: Fluid overload causes tachycardia to compensate for increased volume, hypertension due to increased vascular resistance, and tachypnea from pulmonary congestion. Hematocrit is typically decreased due to dilution. Temperature is not directly affected unless infection is present.
Question 4 of 5
Which signs and symptoms are NOT typically present in a patient with Cushing's?
Correct Answer: A,F
Rationale: Cushing's syndrome causes hirsutism, not thin hair, and hypernatremia, not hyponatremia. Striae, hyperglycemia, truncal obesity, and slow wound healing are characteristic.
Question 5 of 5
A nurse in an emergency department (ED) is admitting a client. Select the 3 findings that require immediate follow-up.
Correct Answer: A,C,E
Rationale: A heart rate of 43 bpm, third-degree AV block on EKG, and crackles with 90% oxygen saturation indicate life-threatening conditions requiring immediate intervention. Neurological status and temperature are stable.